PECONIC UROLOGY P.C.
NPI 1003940248
Urology in Massapequa, NY

Active since March 16, 2007
20 HICKSVILLE RD, SUITE 3, MASSAPEQUA, NY 11758(516) 541-5500(516) 541-5199 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peconic Urology P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PECONIC UROLOGY P.C. (NPI 1003940248) is a healthcare organization registered as an urology in Massapequa, New York and active in the NPI registry since March 2007. The organization lists Robert L Mucciolo, President, as its authorized official.

NPPES Registry Identity

NPI1003940248
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NamePECONIC UROLOGY P.C.
Location Address20 HICKSVILLE RD, SUITE 3Massapequa, NY 11758-5819
Mailing Address20 Hicksville Rd, Suite 3Massapequa, NY 11758-5819 · (516) 541-5500 · Fax (516) 541-5199
Fax(516) 541-5199
Organization SubpartNo
Authorized OfficialRobert L MuccioloPresident · (516) 541-5500
Enumeration DateMarch 16, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1003940248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NY · 148353
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
20 HICKSVILLE RD, Massapequa, NY 11758

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
20 HICKSVILLE RD, SUITE 3
MASSAPEQUA, NY 11758
Podiatrist (Foot & Ankle Surgery)
20 HICKSVILLE RD
MASSAPEQUA, NY 11758
Physician Assistant
20 HICKSVILLE RD, SUITE 2
MASSAPEQUA, NY 11758
Social Worker (Clinical)
20 HICKSVILLE RD
MASSAPEQUA, NY 11758
Urology
20 HICKSVILLE RD, SUITE 3
MASSAPEQUA, NY 11758
Pediatrics
20 HICKSVILLE RD, SUITE 6
MASSAPEQUA, NY 11758
Podiatrist (Foot Surgery)
20 HICKSVILLE RD, SUITE 2
MASSAPEQUA, NY 11758
Urology
20 HICKSVILLE RD, SUITE 3
MASSAPEQUA, NY 11758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peconic Urology P.C.'s NPI number?

The NPI number for Peconic Urology P.C. is 1003940248. It was assigned to this organization in the NPPES registry on March 16, 2007.

Where is Peconic Urology P.C. located?

Peconic Urology P.C. is located at 20 Hicksville Rd Suite 3, Massapequa, NY 11758. The listed phone number is (516) 541-5500.

What is Peconic Urology P.C.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Peconic Urology P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.